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General NPI Number Information
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NPI Number | 1760713861
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Entity Type | Organization
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Legal Business Name | JOHN F. STRANDMARK MD PLLC
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 2248 MOUNT HOPE RD SUITE 110
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City | OKEMOS
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State | MI
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Zip | 48864-2501
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Country | US
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Telephone | 517-349-0700
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Fax | 517-349-0600
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Provider Business Mailing Address
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Address Line | 2248 MOUNT HOPE RD SUITE 110
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City | OKEMOS
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State | MI
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Zip | 48864-2501
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Country | US
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Telephone | 517-349-0700
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Fax | 517-349-0600
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Authorized Official
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Title or Position | OWNWER
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Name | JOHN FRANKLIN STRANDMARK
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Credential | M.D.
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Telephone | 517-349-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301045902
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License Number State | MI
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